Brian E. Louie, MD

  • Thoracic surgery
Accepting New Patients
1101 Madison St.
Suite 900
Seattle, WA 98104

General Information

Dr. Louie’s practice involves all aspects of general thoracic surgery including the lung, esophagus, stomach and mediastinum. He has particular interests in minimally invasive surgery that involves the use of laparoscopy, robotics and endoscopy for both cancer and non-cancerous diseases. He believes that care is about helping patients and their families understand their illness and guiding them in selecting treatment that is appropriate and individualized for the patient at his or her stage of life.
  • Thoracic surgery
Education Background
Medical School: University of Toronto
Residency: University of Alberta, General Surgery
Fellowship: McMaster University, Thoracic Surgery
Fellowship: University of Southern California, Esophageal and Gastric Surgery
  • English
Personal Interests
When not caring for patients, Dr. Louie enjoys spending time with his wife and two children. He also enjoys cooking, travelling, and playing and coaching ice hockey.



Early Experiences with Robotic Lung Resection Result in Similar Operative Outcomes and Morbidity When Compared to Matched VATS Cases 

     Louie BE, Farivar AS, Aye RW, Valli�res E.


      "Early experience with robotic resection resulted in similar outcomes compared with mature
       VATS cases. A potential benefit of robotics may relate to postoperative pain reduction and earlier
       return to usual activities..."

       Annals of Thoracic Surgery. 93(5):1598-605, 2012

Repair of Symptomatic Giant Paraesophageal Hernias in Elderly (> 70 yrs) Patients Results in Improved Quality of Life

          Louie BE, Blitz M, Orlina J, Farivar AS, Ralph AW.

         "Symptomatic giant PEH in this elderly population can be repaired with symptomatic
          improvement, minimal morbidity and mortality in both the elective and urgent setting. The
          decision to operate should be made by a physician experienced in managing this complex
          patient population."

          Journal of Gastrointestinal Surgery. Volume 15(3): 389-96, 2011

Comparison of Open and Minimally Invasive Thymectomies at a Single Institution

         Youssef S, Louie BE, Blitz M, Farivar AS, Aye RW, Valli�res E.

         "Minimally invasive thymectomy can be performed with similar morbidity and efficacy as
          transsternal thymectomy. Patients require fewer narcotics and can be discharged earlier."

         The American Journal of Surgery. 199(5):589-593, 2010


Safety and Utility of Mediastinoscopy in Non-Small Cell Lung Cancer in a Complex Mediastinum

          Louie BE, Kapur S, Farivar AS, Youssef S, Gorden J, Aye RW, Valli�res E

          " Mediastinoscopy in the complex mediastinum can be 
           performed with acceptable morbidity" 

           View presentation

           Southern Thoracic Surgical Association. Orlando, Florida
           November 5, 2010




Massimo Castiglioni, Brian E. Louie, Candice L. Wilshire, Alexander S. Farivar, Ralph W. Aye, Jed Gorden, Matthew P. Horton, Eric Valli�res.  Surveillance Of The Remaining Nodules After Resection Of The Dominant Lesion In Patients With Multiple Nodules And A Dominant Lung Adenocarcinoma Is An Appropriate Follow Up Strategy.  Frontiers in Oncology - In press.  (2014)

Preeth Umamaheswaran, Daniel Davila Bradley, Amir Bastawrous, Drew Schembre, Rodney Kratz, MD, J A Cervera-Servin, Ralph W. Aye, Brian E Louie. Over The Scope Clip (Otsc) Placement For Perforation, Fistula And Anastomotic Leak Closure.  Surgical Endoscopy (2014) awaiting revisions.

Steven C. Bharadwaj, Eric Valli�res, Candice L. Wilshire, Maurice Blitz, Brandi Page, Ralph W. Aye, Alexander S. Farivar, Brian E. Louie.  Comparison Of Preoperative 45 Gy Of Radiation To Higher Dose In Trimodality Management Of Stage IIIA NSCLC.  Annals of Thoracic Surgery.  (2014) - resubmitted.

Candice L. Wilshire, Brian E. Louie, Kristin A. Manning, Matthew P. Horton, Massimo Castiglioni, Ralph W. Aye, Alexander S. Farivar, Jed Gorden and Eric Valli�res.  CT evaluation of adenocarcinomas is highly predictive of oncologic outcome at resection.  Annals of Thoracic Surgery - submitted. (2014)

Massimo Castiglioni, Brian E. Louie, Candice L. Wilshire, Alexander S. Farivar, Ralph W. Aye, Jed Gorden, Matthew P. Horton, Eric Valli�res.  Patients With Multiple Nodules And A Dominant Lung Adenocarcinoma Have Similar Outcomes And Survival Compared With Patients Who Have A Single Dominant Adenocarcinoma.  Interactive CardioVascular and Thoracic Surgery - published online.  (2014)

Corey S. Johnson, Brian E. Louie, Aaron Wille, Christy M Dunst, Stephanie G. Worrell, Steven R. DeMeester, Jessica Reynolds, Joe Dixon, John C. Lipham, Michal Lada, Jeffrey H. Peters, Thomas J. Watson, Alexander S. Farivar and Ralph W. Aye.  The Durability Of Endoscopic Therapy For Treatment Of Barrett’s Metaplasia, Dysplasia And Mucosal Cancer After Nissen Fundoplication.  Journal of Gastrointestinal Surgery – in press.  (2014)

Daniel Davila Bradley, Brian E Louie, Judy Chen, Ralph W. Aye, Ross McMahon, Alexander S. Farivar.  The Effect of Concurrent Esophageal Pathology on Bariatric Surgical Planning.  Journal of Gastrointestinal Surgery – in press.  (2014)

Daniel Davila Bradley, Brian E Louie, Peter Baik, Alexander S Farivar and Ralph W Aye.  Assessment and Reduction Of Diaphragmatic Tension During Hiatal Hernia Repair.  Surgical Endoscopy - in press (2014).

Lipham JC, Taiganides PA, Louie BE, Ganz RA, Demeester TR. Safety analysis of first 1000 patients treated with magnetic sphincter augmentation for gastroesophageal reflux disease. Dis Esophagus. 2014 Mar 11.

Jennifer L. Wilson, Daniel Davila Bradley, Brian E. Louie, Ralph W. Aye, Eric Valli�res and Alexander S. Farivar.  Laparoscopy with left chest Collis gastroplasty:  A simplied technique for shortened esophagus.  Annals of Thoracic Surgery. (2014) 98(5):1860-1862.

Olaf J Bakker, Sandra van Brunschot, Antoni Farre, Colin D Johnson, Fotis Kalfarentzos, Brian E Louie, Attila Ol�h, Stephen J O’Keefe, Maxim S Petrov, James J Powell, Marc G Besselink, Hjalmar C van Santvoort, Maroeska M Rovers and Hein G Gooszen.  Timing of enteral nutrition in acute pancreatitis: meta-analysis of individuals using a single-arm of randomised trials. Pancreatology - (2014) 14(5):340-346

Brian E. Louie, Alexander S. Farivar, Dale Shultz, Christina Brennan, Eric Valli�res, and Ralph W. Aye.  Short Term Outcomes Comparing Magnetic Sphincter Augmentation Versus Nissen Fundoplication for Chronic GERD.  Annals of Thoracic Surgery - (2014) 98;498-505.

Farhood Farjah, Thomas K Varghese, Kimberly Costas, Bahirathan Krishnadasan, Alexander S Farivar, Misho Hubka, Brian E Louie, Leah M Backhus, Nyen Chong, Jed Gorden, Aaron M Cheng, Hao He, David R Flum, Donald Low, Ralph Aye, Eric Vallieres, Michael S Mulligan, and Douglas E Wood.  Lung Resection Outcomes and Costs in Washington State: A Case for Regional Quality Improvement.  Annals of Thoracic Surgery (2014) 98(1):175-182.

Jennifer L Wilson, Daniel Davila Bradley, Brian E Louie, Eric Vallieres, Ralph W Aye, and Alexander S Farivar. Laparoscopy with Left Chest Collis Gastroplasty. Thoracic Expert Techniques.  Mark Ferguson, MD ed.  June 5, 2014.

Jennifer L Wilson, Brian E Louie, Robert J Cerfolio, Bernard J Park, Eric Vallieres, Ralph W Aye, Ahmed M Abdel-Razek, Ayesha S Bryant, and Alexander S Farivar.  The Prevalence of Nodal Upstaging During Robotic Lung Resection in Early Stage Non-Small Cell Lung Cancer (NSCLC).  Annals of Thoracic Surgery (2014) 97:1901-7.

Jennifer L. Wilson and Brian E. Louie.  New Options for the Management of GERD.  In Current Surgery Reports (Volume 2). Stephen C. Yang, MD, Editor-in-Chief.  Steven DeMeester, MD, Section Editor.  (2014) 2(6):57-67.

Brian E. Louie.  Robotic Pneumonectomy. In Thoracic Surgery Clinics. Bernard Park MD, Ed.  (2014) 24(2):169-175.

Ben M. Hunt, Brian E. Louie, Christy M. Dunst, John C. Lipham, Alexander S. Farivar, Ahmed Sharata, and Ralph W. Aye.  Esophagectomy for Failed Endoscopic Therapy in Patients with High Grade Dysplasia or Intramucosal Carcinoma.  Diseases of the Esophagus.  (2014) 27(4):362-67.

Farivar AS, Cerfolio RJ, Valli�res E, Knight AW, Bryant A, Lingala V, Aye RW, Louie BE.  Comparing robotic lung resection with thoracotomy and video-assisted thoracoscopic surgery cases entered into the society of thoracic surgeons database.  Innovations (Phila). 2014 Jan-Feb;9(1):10-5.
Deen SA, Wilson JL, Wilshire CL, Valli�res E, Farivar AS, Aye RW, Ely RE, Louie BE. Defining the Cost of Care for Lobectomy and Segmentectomy: A Comparison of Open, Video-Assisted Thoracoscopic, and Robotic Approaches. Ann Thorac Surg. 2014 Mar;97(3):1000-7.

Brian E. Louie.  Invited Commentary:  Endoscopic endoluminal vacuum therapy in esophageal perforation.  Annals of Thoracic Surgery. (2014) 97:1035-6.

Michael E. Wechsler, Michel Laviolette, Adalberto S Rubin, Jussara Fiterman, Jose R Lapa e Silva, Pallav L Shah, Elie Fiss, Ronald Olivenstein, Neil C Thomson, Robert M Niven, Ian D Pavord, Michael Simoff, Jeff B Hales, Charlene McEvoy, Dirk-Jan Slebos, Mark Holmes, Martin J Phillips, Serpil C Erzurum, Nicola A Hanania, Kaharu Sumino, Monica Kraft, Gerard Cox, Daniel H Sterman, Kyle Hogarth, Joel N Kline, Adel H Mansur, Brian E Louie, William M Leeds, Richard G Barbers, John H.M. Austin, Narinder S Shargill, John Quiring, Brian Armstrong, Mario Castro, MD.  Bronchial Thermoplasty - Long Term Safety and Effectiveness in Patients with Severe Persistent Asthma.  Journal of Allergy and Clinical Immunology. (2013)  132(6):1295-1302.

Jennifer L. Wilson, Brian E. Louie, Alexander S. Farivar, Eric Valli�res and Ralph W. Aye.  Fully Covered Self-Expanding Removable Metal Stents Are Effective For Benign Esophagogastric Disruptions and Strictures.  Journal of Gastrointestinal Surgery.  (2013) 17:2045-2050.

Brian E. Louie.  Invited Commentary:  The short-term outcome of three-field minimally invasive esophagectomy for Siewert type I esophagogastric junctional adenocarcinoma.  Annals of Thoracic Surgery. (2013) 96:1832.

Brian E. Louie.  Invited Commentary:  Impact of gastropyloric motor activity on the genesis of reflux esophagitis after an esophagectomy with gastric tube reconstruction.  Annals of Thoracic Surgery.  (2013) 96:1838-39

Zeljka Jutric and Brian E. Louie.  Laparoscopic Paraesophageal Hernia Repair.  Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.  Invited Manuscript.  Ed.  Dr. Marco Fischella.  (2013) 23(5):436-41.

 Louie BE. Robotic Lobectomy for Non-Small Cell Lung Cancer.  Indian J Surg Oncol. 2013 Jun;4(2):125-131.

Shaun A. Deen, Alexander S. Farivar and Brian E. Louie.  Thoracic Techniques:  Robotic Thymectomy for Thymoma.  Indian Journal of Surgical Oncology.  2013; 4(2):132-137.

Alia P. Qureshi, Ralph W. Aye, Gordon Buduhan, Ariel Knight, Jeraldine Orlina, Alexander S. Farivar, Oliver J. Wagner, Sean McHugh, Brian E. Louie.  The Laparoscopic Nissen-Hill Hybrid:  Pilot Study of a Combined Anti-Reflux Procedure.  Surgical Endoscopy. 2013;27(6):1945-1952
Wilson JL, Louie BE, Farivar AS, Valli�res E, Aye RW. Fully covered self-expanding metal stents are effective for benign esophagogastric disruptions and strictures. J Gastrointest Surg. 2013 Dec;17(12):2045-50.

Jutric Z, Louie BE. Laparoscopic paraesophageal hernia repair. Surg Laparosc Endosc Percutan Tech. 2013 Oct;23(5):436-41.

 Hunt BM, Louie BE, Dunst CM, Lipham JC, Farivar AS, Sharata A, Aye RW. Esophagectomy for failed endoscopic therapy in patients with high-grade dysplasia or intramucosal carcinoma. Dis Esophagus. 2013 Jun 24.
Hunt BM, Louie BE, Schembre DB, Bohorfoush AG, Farivar AS, Aye RW. Outcomes in patients who have failed endoscopic therapy for dysplastic Barrett's metaplasia or early esophageal cancer. Ann Thorac Surg. 2013 May;95(5):1734-40.

Brian E. Louie and Jed Gorden.  Invited Commentary:  Endoscopic one-way valve implantation in patients with prolonged air leak and the use of digital air leak monitoring.  Annals of Thoracic Surgery 2013;95:1249-1250.

Brian E. Louie, Seema Kapur, Maurice Blitz, Alexander S. Farivar, Eric Valli�res, Ralph W. Aye.  Length and Pressure of the Reconstructed Lower Esophageal Sphincter is Determined by Both Crural Closure and Nissen Fundoplication.  Journal of Gastrointestinal Surgery.  (2013) Volume 17(2):236-243

Brian E. Louie.  Robotic Lobectomy - The Future of Minimally Invasive Lobectomy?  Invited Editorial in Chinese Journal of Cancer Research.  (2013) Volume 25(1):1-3.

Qureshi AP, Aye RW, Buduhan G, Knight A, Orlina J, Farivar AS, Wagner OJ, McHugh S, Louie BE. The laparoscopic Nissen-Hill hybrid: pilot study of a combined antireflux procedure. Surg Endosc. 2013 Jun;27(6):1945-52.
Louie BE, Kapur S, Blitz M, Farivar AS, Valli�res E, Aye RW. Length and pressure of the reconstructed lower esophageal sphincter is determined by both crural closure and Nissen fundoplication. J Gastrointest Surg. 2013 Feb;17(2):236-43.

Brian E. Louie, Eric Valli�res, Ralph W. Aye and Alexander S. Farivar. Robotic Thymectomy via Right Chest Approach. Thoracic Expert Techniques.  Mark Ferguson, MD ed.  October 8, 2012.

Ben M Hunt, Alexander S Farivar, Eric Valli�res, Brian E Louie, Ralph W Aye, Eva E Flores, and Jed A Gorden.  Thoracoscopic Talc versus Tunneled Pleural Catheters for Palliation of Malignant Pleural Effusions.  Annals of Thoracic Surgery (2012) 94(4): 1053-59.

Ralph W Aye, Lee L Swanstrom, Seema Kapur, Brian E Louie MD, Gordon Buduhan, Christy M Dunst, Ariel Knight, Judith A. Malmgren, Brian E Louie. A Randomized Multi-institution Trial Comparison of the Laparoscopic Nissen Hill Repairs.  Annals of Thoracic Surgery (2012) 94(3):959-965.

Wagner OJ, Louie BE, Valli�res E, Aye RW, Farivar AS. Near-infrared fluorescence imaging can help identify the contralateral phrenic nerve during robotic thymectomy. Ann Thorac Surg. 2012 Aug;94(2):622-5.

Nicole Jackson and Brian E. Louie.  Spontaneous Pneumothorax.  Current Respiratory Medicine Reviews. (2012) 8(4):285-296.
Louie BE, Farivar AS, Aye RW, Valli�res E. "Early Experiences with Robotic Lung Resection Result in Similar Operative Outcomes and Morbidity When Compared to Matched VATS Cases". Annals of Thoracic Surgery. 93(5):1598-605, 2012. (PubMed)

Hunt BM, Farivar AS, Valli�res E, Louie BE, Aye RW, Flores EE, Gorden JA. Thoracoscopic talc versus tunneled pleural catheters for palliation of malignant pleural effusions. Ann Thorac Surg. 2012 Oct;94(4):1053-7.

Egan M, Louie BE, Farivar AS, Wagner O, Valli�res E. Laparoscopic repair of gastric herniation after extrapleural pneumonectomy for mesothelioma. Ann Thorac Surg. 2012 May;93(5):e127-9.

Alexander S Farivar, Brian E Louie, Ralph W Aye, Matthew P Horton, and Eric Valli�res. Extrapleural Pneumonectomy for Primary Pleural Mullerian Tumor in a Young Woman.  Annals of Thoracic Surgery.  (2012) 93(1): e1-2.

Alexander S. Farivar, Oliver Wagner, Eric Valli�res, Ralph W. Aye, and Brian E. Louie.  Robotic Right Upper Lobectomy. Thoracic Expert Techniques.  Mark Ferguson, MD ed.  September 13, 2011.

 Louie BE, Kapur S, Farivar AS, Youssef SJ, Gorden J, Aye RW, Valli�res E. Safety and Utility of Mediastinoscopy in Non-Small Cell Lung Cancer in a Complex Mediastinum. Annals of Thoracic Surgery, 2(1): 278-82, 2011. (PubMed)

Louie BE, Blitz M, Orlina J, Farivar AS, Ralph AW. "Repair of symptomatic giant paraesophageal hernias in elderly (> 70 yrs) patients results in improved quality of life". Journal of Gastrointestinal Surgery. Volume 15(3): 389-96, 2011. (PubMed)

Seema Kapur and Brian E. Louie. Hemoptysis and Thoracic Fungal Infections.  Surgical Clinics of North America. (2010) Volume 90:985-1001.

Youssef S, Louie BE, Blitz M, Farivar AS, Aye RW, Valli�res E. “Comparison of open and minimally invasive thymectomies at a single institution.” The American Journal of Surgery. 199(5):589-593, 2010. (PubMed)

Louie BE. "Is esophagectomy the paradigm for volume-outcome relationships?" Journal of Gastrointestinal Surgery. 14(Supplement 1):115-120, 2010

Buduhan G, Louie BE, Orlina J, Valli�res E, Aye RW."Endoscopic and manometric position-related characteristics of the normal gastroesophageal junction." Surgical Endoscopy. 24:2165–2169, 2010

Maurice Blitz and Brian E. Louie.  Chronic Traumatic Diaphragmatic Hernias.  In Thoracic Surgical Clinics. 19(4):491-500. (2009).

Buduhan G, Menon S, Aye RW, Louie BE, Mehta V, Valli�res E. “Trimodality therapy for malignant pleural mesothelioma.” Annals of Thoracic Surgery. (88):870-876, 2009

Hunt BM, Valli�res E, Buduhan G, Aye RW, Louie BE. “Sarcoidosis as a benign cause of lymphadenopathy in cancer patients.” The American Journal of Surgery. 197(5):629-32, 2009

Hochman D, Louie BE, Bailey R. "Determination of patient quality of life following severe acute pancreatitis." Canadian Journal of Surgery. 49(2):101-6, 2006

Beekman, Richard A, Louie, Brian, Singh, Ravinder, Salama, Samih and Miller, John D. Asymptomatic thoracic splenosis after thoracoabdominal trauma: establishing a diagnosis.  Injury Extra.  36:283-86. (2005)

Louie, Brian, Noseworthy,Tom, Hailey, David, Gramlich, Leah, Jacobs, Phillip and Warnock, Garth. Enteral or parenteral nutrition for severe pancreatitis: a randomized control trial and health technology assessment. Can J Surg. 48(4):298-306. (2005) (Winner:  McLean-Mueller Prize)

Singh, Ravinder, Louie, Brian, Bennett, William F., Allen, Christopher, Kelly, Tom, Lee, Christine H. Overwhelming pulmonary infection after a tobogganing accident.  Canadian Journal of Infectious Disease and Medical Microbiology. 16(4): 209-11. July/August 2005.

Louie, Brian, Harlock, John, Hosein, Alana and Miller, John.  Laser therapy for an obstructing primary tracheal lymphoma in a patient with AIDS.  Canadian Respiratory Journal.  12(2):86-88. March 2005.

Louie, B., McKee, M., Richards, R., Waddell, J., Mahoney, J., Beaton, D. and Yoo, D.  Free vascularized fibular grafting for osteonecrosis of the femoral head:  An analysis of surgical outcome and patient health status.  Canadian Journal of Surgery.  42(4):274-282. (1999)

Tang, C.L., Mahoney, J.L., McKee, M.D., Richards, R.R., Waddell, J.P., Louie, B.E. and Yoo, D. Donor site morbidity following vascularized fibular grafting.  Microsurgery. 18:383-386. (1998)

Louie, B., Byrne, N. and Wasylenki, D.  From feedback to reciprocity:  developing a student-centered approach to course evaluation.  Evaluation and the Health Professions.  19(2):231-242  (1996).

Louie, B., Guy, J., Quinn, M. and Reid, R.  Reducing surgical length of stay - Quantifying the impact.  Healthcare  Management FORUM.  8(4):29-35 (1995).

Watts, D., Finney, D. and Louie, B. Integrating capital budgeting and technology assessment:  Equipment planning to meet hospital needs. Healthcare Financial Management. 47(2):20-24,26,28-29. (1993).

Louie, B. and Reid, R.  Building a decision support system. Leadership in Health Services.  1(3):18-23. (1992).

Louie, B.  Trading health services:  An exploratory study."  Dimensions in Health Service.  68(4):30-33 (1991)

Quinn, M. and Louie, B.  Investment practices in acute care institutions:  A Survey.  Dimensions in Health Service.  68(6):24-28. (1991).



Louie, Brian E.  Setting up a POEM Program.  Combined Clinical Symposium - Digestive Disease Week.  Washington, DC.  May 19, 2015.

Louie, Brian E.  Does the Surgeon Have a Role in the Management of Early (HGD-T1a) Esophageal Cancer.  AATS/STS General Thoracic Surgery Symposium:  The Evolving Role of Thoracic Surgeons.  American Association of Thoracic Surgeons Annual Meeting.  Seattle WA, April 26, 2015.

Louie, Brian E.  Magnetic sphincter augmentation.  AATS/STS General Thoracic Skills:  Implementing Innovation:  What Future Leaders Need to Know.  American Association of Thoracic Surgeons Annual Meeting.  Seattle WA, April 25, 2015.

Louie, Brian E.  Minimally Invasive Thymectomy:  How I Do It.  General Thoracic Surgical Club Annual Meeting.  Naples, FL.  March 12-15, 2-15.

Louie, Brian E.  Evolution of the Surgical Myotomy for Achalasia.  Frontiers in Gastroenterology and Hepatology.  University of Washington, Division of Gastroenterology Grand Rounds.  Seattle, WA.  September 26, 2014

Louie, Brian E.  Anatomy of the Reflux Barrier in Health, Disease and Reconstruction.  SAGES:  Optimizing Results of Fundoplication Symposium.  Salt Lake City, UT.  April 2, 2014.

Louie, Brian E.  Anatomy of the Reflux Barrier in Health, Disease and Reconstruction.  University of Alberta, Division of General Surgery Visiting Professorship.  Grand Rounds Presentation.  Edmonton, AB.  March 14, 2014.

Louie, Brian E.  The Role and Selection of Patients for Antireflux Surgery After the Spechler Report.  University of Alberta, Division of General Surgery Visiting Professorship.  Mulitdisciplinary Rounds Presentation.  Edmonton, AB.  March 13, 2014.

Louie, Brian E.  The Reflux Barrier:  Influences from Dr. DeMeester and Dr. Hill.  University of Toronto Division of Thoracic Surgery Visiting Professorship.  April 16-17, 2013.

Louie, Brian E.  Revolution in Esophageal Cancer:  From palliation to cure and preservation in 100 years.  University of Toronto Division of Thoracic Surgery Visiting Professorship.  April 16-17, 2013.

Louie BE, Farivar AS, Aye RW, Valli�res E. "Early Experience With Robotic Lung Resection Results In Similar Operative Outcomes and Morbidity When Compared To Matched VATS Cases ." Southern Thoracic Surgical Association. San Antonio, Texas, November 11, 2011

Louie BE. "Surgical Alternatives and Modifications in the Management of PEH." Panel Discussion – Seattle Surgical Society. Seattle, WA, April 29, 2011

Louie BE. “Robotic Surgery for Lung Cancer.” Society for Thoracic Surgery/American Association of Thoracic Surgery Tech Con 2011. San Diego, CA. January 29, 2011

Louie BE, Farivar AS, Wagner O, Aye RW, Hopper P, Witmer K, Thirsk-Fathi J, Valli�res E. "Should Robotic Thoracic Surgery Be Pursued? A case-control analysis of selected robotic versus laparoscopic/VATS procedures" (Abstract), The International Society for Minimally Invasive Cardiothoracic Surgery. Washington DC. June 8, 2010

Louie, Brian E.  Novel Approaches to Traditional Neuro-Thoracic Diseases.  Swedish Neurosciences Institute Grand Rounds.  Seattle, WA.  November 18, 2010.

Louie BE, Kapur S, Farivar AS, Youssef S, Gorden J, Aye RW, Valli�res E. "Safety and Utility of Mediastinoscopy in Non-Small Cell Lung Cancer (NSCLC) in a Complex Mediastinum". Southern Thoracic Surgical Association. Orlando, Florida November 5, 2010

Louie, Brian E.  Diagnostic and Treatment Strategies for Pulmonary Nodules in Colon and Rectal Cancer Patients.  8th Annual West Coast Colorectal Cancer Symposium.  Seattle.  October 15, 2010.

Kapur S, Farivar AS, Orlina J, Aye RW, Louie BE. “Evaluation and approach to benign distal esophageal and gastroesophageal junction lesions.” 12th World congress of The International Society for Diseases of the Esophagus. Kagoshima, Japan. September, 2010

Louie, Brian E.  A New Era in the Management of Solitary Pulmonary Nodule and Early Lung Cancer.  St. Joseph’s Regional Medical Center, Lewiston, ID.  April 8, 2010.

Louie, Brian E.  Current Trends in Esophageal Cancer:  From Barrett’s esophagus to high grade dysplasia and intramucosal carcinoma to invasive carcinoma.  Snake River Medical Group, Tumor Board.  Lewiston, ID.  April 7, 2010.

Brandi P, Blitz M, Louie BE, Aye RW, Valli�res E. “Pulmonary Resection of NSCLC can be performed safely following definitive chemoradiotherapy.” Oral presentation 13th World Conference on Lung Cancer. San Francisco, CA. 2009

Youssef S, Blitz M, Valli�res E, Aye RW, Louie BE. "Preliminary experience with minimally invasive thymectomy." Washington Chapter of the American College of Surgeons. Lake Chelan, WA. June 14, 2009

Louie BE, Dunst CM, Swanstrom L, Aye RW. "Manometric Features of the Laparoscopic Hill repair vs the Nissen Fundoplication for Gastroesophageal Reflux Disease (GERD)." Digestive Diseases Week. Chicago. Illinois, June 1, 2009

Louie BE. "Barrett's esophagus, high grade dysplasia and intramucosal carcinoma - A continued role for surgery." Emil Jobb Gastroenterology Symposium: Update on Gastrointestinal and Liver Disease. Seattle, Washington. February 27, 2009

Buduhan G, Menon S, Aye RW, Louie BE, Mehta V, Valli�res E. "


Esophageal cancer: a growing problem linked to GERD

April 13, 2016

April is Esophageal Cancer Awareness Month, a good time to shed some light on this uncommon but growing cancer.

A New Approach in the Treatment of Achalasia

March 13, 2015
One of the most rewarding aspects of surgery is that there is constant innovation to improve the operations we do to help patients. Last July, we introduced a new innovative procedure at Swedish called Per Oral Endoscopic Myotomy or POEM.

The POEM procedure is used primarily to treat patients with achalasia. Achalasia is a disorder of the esophagus where the nerve fibers deteriorate leaving the esophagus without its propulsive power and the sphincter at the end of the esophagus that prevents reflux to remain closed.

Per oral endoscopic myotomy (POEM) for achalasia

August 25, 2014

P.O.E.M. has come to Seattle at Swedish Medical Center. No, not the kind that rhymes but one that is elegant in its own way. Per Oral Endoscopic Myotomy or POEM is relatively new procedure used in the treatment of achalasia, which is a disorder of the esophagus due to degeneration of the nerve network within the walls of the esophagus. The diseases leaves patients with little propulsive power to push food toward and into the stomach as well as causing the “valve” at the top of the stomach to remain closed. This makes it difficult for patients to eat or drink. Patients may need to drink a lot of fluid to get food to pass into the stomach whereas others may feel pain or discomfort after eating and still others may have undigested food come up many hours after eating or when lying down.

Research on LINX recently published

July 02, 2014

The Swedish Thoracic Surgery team recently had results from a study published in Annals of Thoracic Surgery, "Short-Term Outcomes Using Magnetic Sphincter Augmentation Versus Nissen Fundoplication for Medically Resistant Gastroesophageal Reflux Disease", in which a retrospective case-control study was performed of consecutive patients undergoing either procedure who had chronic gastrointestinal esophageal disease (GERD) and a hiatal hernia of less than 3 cm. Based on the study, the LINX device appears to restore the sphincter barrier function and preserve normal physiology which enables belching and vomiting.

Updates on LINX - GERD reflux management system

January 27, 2014

Since my initial LINX blog post 20 months ago, we have been engaged in a dialogue with patients from around the world who suffer from gastroesophageal reflux disease or GERD.  Despite my initial trepidation to “blogging”, this has been a rewarding experience to hear about patient’s problems, their concerns about the current treatments (PPI’s and Nissen fundoplication) and simply interacting with them.  I thank the patients who have taken time to share their thoughts on the blog.


When our social media manager asked me to provide an update on LINX, I realized that I have been simply responding to patient’s questions and I haven’t posted any of my thoughts or updates on what is happening with the LINX device.

There are some exc...

Dysphagia - what it is, what can be done, and why you should speak with your provider if you have trouble swallowing

December 12, 2012

Dysphagia. This is the technical medical term for difficulty swallowing which is a common complaint. Most people have experienced this sensation in their lives. It can occur when you’re eating something doughy like a bagel or French bread and then take few extra bites before swallowing. If you immediately swallow several times in a row you may get the sensation that the food is slowly passing toward your stomach. Your mouth may salivate; you might get a pressure sensation behind your breastbone; you might experience some pain, burning or discomfort. And, then you will feel instant relief the second the food you swallowed passes from the esophagus into the stomach. This is dysphagia.

For most people, this experience occurs very occasionally and usually when we are trying to eat too much, too quickly.

However, for some patients this symptom may occur more frequently such as daily and sometimes as often as every bite of food. It may also occur with solid food alone or with both sol...

Upcoming GERD talk at Swedish Issaquah on 9/26

September 21, 2012

LINX has arrived at Swedish! After several months of preparation, we will be implanting the first 3 LINX devices on September 21, 2012. For our 3 adventurous patients, we are excited to see them have their GERD controlled with the LINX and also hope that it meets their expectations.

To learn more about this procedure and others options for managing GERD, you may wish to come and hear my partners Dr. Ralph Aye and Dr. Alex Farivar talk at Swedish Issaquah on September 26th, 2012.

Update on 9/23: I am happy to report that our patients who have received the LINX device are all doing well.

A new treatment for GERD: The LINX - Reflux Management System

May 02, 2012

Acid reflux, heartburn and indigestion are all forms of gastroesophageal reflux disease or GERD. This common problem afflicts over 20 million people in the United States on a daily basis. As a surgeon who treats patients with some of the most severe symptoms of GERD, I was recently struck by the fact that very little has changed in the treatment of the debilitating problem over the last several decades.

Medications have always been the primary treatment for patients with GERD. TUMS, Rolaids, alka seltzer are easy over the counter remedies that could provide instant but only short-term relief. More potent medications called H2 receptor antagonists (commonly known as Zantac, Pepcid AC) brought about longer lasting relief. These medications were great but many patients experienced a relapse of symptoms.

The newest medications for GERD...

Using robotic technology to improve outcomes in myasthenia gravis and thymoma

December 28, 2011

New technologies have the potential to improve patient outcomes but need to be carefully studied so that patients will maximally benefit.  Robotic thymectomy for myasthenia gravis and thymomas was introduced at Swedish in May of 2009 after careful evaluation of our outcomes with traditional sternotomy and VATS thymectomy.

One of the more challenging aspects of being a surgeon is to understand how new technologies can benefit your patients and how those technologies might become part of your practice. If you’ve watched Grey’s Anatomy, read Time magazine or the Wall Street Journal or surfed the web recently, you’ll be aware of the da Vinci surgical robot. The robot has allowed many different surgical specialties to operate in confined areas of the body with tiny instruments placed through equally small incisions thereby avoiding a larger incision. In thoracic surgery, one of the confined spaces is an area in front of the heart where a gland called the thymus reside...

Movember at Swedish Thoracic Surgery

November 04, 2011

November is associated with two significant cancer awareness efforts that have meaning to all of the staff at Swedish Thoracic Surgery.

First, and most important to us, November is Lung Cancer Awareness month.  Each year for the last 6 years we have suported this important cancer with an event for the public.  Lung cancer is the most common cancer and remains the deadliest of all cancers.  Yet, is is always shrouded in secrecy because of its association with smoking.  But, many of the patients quit smoking some time ago or were never smokers and must still face this deadly disease.

This year, a public event - Shine a Light on Lung Cancer -  will be held on Tuesday, November 7, 2001 at 5:30 pm at Gilda's Club on 1400 Broadway.  Anyone who has been touched by lung cancer is encouraged to attend.

Second, November is also becoming known as Movember.  This movement has been to support men's cancer initiatives and prostate cancer with the...

GERD and Esophageal Cancer

April 25, 2011

April is esophageal cancer awareness month and I was stimulated by two patients I saw recently to highlight the association of esophageal cancer with chronic GERD (heartburn, acid reflux) and the over the counter treatments people take for GERD.

Why am I writing about this? To highlight three common issues I hear everyday:

Clinical Experience

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